NPI | 1932209913 |
---|---|
Former Name | VICKI VAN WINKLE, MFT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFT33478) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC33478) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2024-02-14 |